Skin Care

By Guest Editor Wendy Lewis

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You’re religious about slathering on the SPF60 and never see the light of day….You’re the diva of exfoliation….You keep your peptide cream in your nightstand so you never go to bed without it. But what do you do when your skin care stops working for you? See a doctor.

The jump from creams to needles is a rite of passage for many of us. You can make small, subtle changes to stay on top of the aging process, and save the surgery for when your sagging is out of control. Even in a turbulent economy, we still manage to get to the dermatologist or plastic surgeon every four, six or twelve months for a touch up injection. It’s little like coloring your hair; even when the market is in a slump and the value of your coop takes a dip, you are not about to give up your gorgeous highlights or stop covering your gray. A girl needs to look good no matter what.

But if someone says, “You look great. Who does your Botox™?” – You’re busted! When your lineless forehead looks 30, and your lower face looks 50, everyone in the know will just assume you’ve been botoxed.

Look at your whole face, rather than just the parts that have the most lines and wrinkles. By over treating one area while ignoring another part of your face, you run the risk of looking like a Picasso portrait. Think pan facial rejuvenation!

Neurotoxins and dermal fillers are the dynamic duo of cosmetic beauty, and combination treatments rule. And their benefits no longer stop where your chin meets your neck. If it moves, you can have it frozen; if it deflates, it can be plumped up; if it droops, you can lift it. Injectables can be artfully used to add volume to lift the midface and jawline, beautify features, and camouflage flaws.
Here are 6 of the hottest new crop of beauty shots – including a few eagerly anticipated launches coming soon to a clinic near you.

Evolence™ (OrthoNeutrogena) – This porcine collagen filler restores structure and resiliency to skin as it plumps and fills wrinkles and lines. It has been shown to last about a year. The extra benefit is that due to the minimal swelling, redness and bruising, natural looking results are instantly achieved and Evolence™ is truly a wash and wear treatment. The softer variation for luscious lips, Evolence™ Breeze, is available only outside of the US so far, but expected down the road too.

Prevelle™ Silk (Mentor Corp.) – Prevelle™ marks the first of the next generation of painless fillers that contain lidocaine – which takes away some of the sting from the needle sticks. This hyaluronic acid light is priced nicely and known to be short lasting which makes it good for first timers or special events.

Elevess™ (Artes Medical) – Another hyaluronic acid filler with the added bonus of numbing lidocaine, Elevess™ was recently picked up by the people that market ArteFill™, which is the first permanent wrinkle to gain FDA approval in the US. It is touted as an “affordable” filler – just in time for the credit crunch.

Juvederm™ Ultra (Allergan) – Juvederm™ has been taking the US by storm since its introduction, and lasts up to a year. The newest variation contains lidocaine too and hopefully it will be coming over from Europe in the not too distant future. Another one to watch will be Voluma™, a deep plumping agent from France that keeps Parisiennes looking youthful and radiant.

Perlane™ (Medicis) – A thicker high intensity member of the Restylane™ family, Perlane™ gets injected deeper to add cheek, chin and jawline contours you wish you were born with, and long lasting fullness to lips and temples. Macrolane™, a breast and body filler from Q-Med the Restylane™ company, was launched in Europe this year. Macrolane™ is the first injectable breast augmentation – and can add about a cup size without surgery, scars or implants, which may signal the end to padded bras for lots of A and B cup gals .

Reloxin™ (Medicis) – Considered to be the first of several new botulinum toxins to hit US shores, and headed for FDA approval hopefully by the end of this year, Reloxin™ has been available in Europe under a the Dysport™ brand name with great success. The advantages are that it may last longer and work faster. Stay tuned.

Wendy Lewis, dubbed “The Knife Coach” is the author of ten consumer books including Plastic Makes Perfect, the Complete Cosmetic Beauty Guide, America’s Cosmetic Doctors & Dentists. Her expertise is in guiding her clients in all forms of cosmetic enhancements. Wendy’s international consultancy specializes in all facets of aesthetic medicine, cosmeceuticals, injectables and medical devices. Read more about Wendy and the fascinating things she has to say on her company’s website,, and her newest blog, a joint venture with her teenaged daughter,

Originally published October 2008

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